Granulocyte-colony stimulating factor-producing cervical cancers treated with carbon-ion irradiation

J Obstet Gynaecol Res. 2013 May;39(5):1111-5. doi: 10.1111/jog.12024. Epub 2013 Apr 4.

Abstract

Granulocyte-colony stimulating factor (G-CSF)-producing tumor is a rare condition. It has an aggressive nature and shows resistance to conventional treatments. We report two cases of G-CSF-producing uterine cervical cancer who were successfully treated with carbon-ion radiotherapy (C-ion RT). The first case was a 76-year-old woman with stage IIIB uterine cervical cancer, and the second was a 75-year-old woman with bulky stage IIB disease. Prior to treatment, both patients presented severe granulocytosis and elevated serum G-CSF concentrations. After C-ion RT, their cervical tumors completely disappeared, and their granulocytosis and elevated serum G-CSF levels improved as well. C-ion RT has been reported to be effective for various aggressive tumors, and it may be a good treatment option for this rare aggressive tumor.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carbon / therapeutic use
  • Carcinoma, Squamous Cell / blood
  • Carcinoma, Squamous Cell / metabolism
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / radiotherapy
  • Female
  • Granulocyte Colony-Stimulating Factor / blood
  • Granulocyte Colony-Stimulating Factor / metabolism*
  • Heavy Ion Radiotherapy*
  • Humans
  • Neoplasm Proteins / blood
  • Neoplasm Proteins / metabolism*
  • Neoplasm Staging
  • Treatment Outcome
  • Uterine Cervical Neoplasms / blood
  • Uterine Cervical Neoplasms / metabolism
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / radiotherapy*

Substances

  • Neoplasm Proteins
  • Granulocyte Colony-Stimulating Factor
  • Carbon